Imagining America - Artists and Scholars in Public Life
Conference Registration
Seattle, Washington
September 23-25, 2010
Please note: Individuals attending the conference on Friday, September 24th will travel to an on- or off-campus site of engaged scholarship, and will be asked on this form to pre-register for one of those excursions. Full descriptions of each site visit can be found on Imagining America’s home page: www.imaginingamerica.org, or by downloading this PDF document. Please take a moment to review this information prior to beginning registration.
Last Name
First Name
Title
Institution/Organization
Department/Program
Street Address
Apt/Unit#
City
State  
Country
Postal/Zip Code
Day Time Phone
E-mail Address

If relevant, briefly specify any ability related issue(s) that need our consideration for housing or transportation.
Bio If you would like to be included in the 2010 National Conference Participant Directory, please submit a professional bio of no more than 50 words.
Affiliation Is your school a consortium member? Click here to find out.